Mertens, Hollis L
Mertens, Hollis L is an individual health care provider with primary practice located at 3000 New Bern Ave 3Rd Floor, Wake Med Faculty Physicians Neonatology, Raleigh NC 27610-1231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mertens, Hollis L can be contacted via phone (919) 350-8105.Contact Information
Primary practice address
3000 New Bern Ave 3Rd Floor, Wake Med Faculty Physicians Neonatology
Raleigh NC 27610-1231
Phone: (919) 350-8105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 139605 | Wisconsin |
Profile Details
| NPI number | 1699726448 |
|---|---|
| LBN Legal business name | Mertens, Hollis L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Mar 9th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699726448 | NPPES |
| Other | 007906261Q | HUMANA | |
| MEDICAID | 41178300 | HUMANA |
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